A nurse is preparing to transport a patient with active tuberculosis (TB) to another department for a diagnostic procedure. Which of the following infection control precautions should the nurse implement?

Have the nurse wear an N95 respirator during transport.

Use a standard wheelchair with no additional precautions.

Have the patient wear a surgical mask during transport.

Place the patient in a negative-pressure isolation room during transport

Answer and Explanation

The Correct Answer is C

A. Have the nurse wear an N95 respirator during transport. While the nurse should wear an N95 respirator when providing direct care to a patient with TB in a hospital room, the focus during transport is on preventing airborne transmission from the patient to others.

B. Use a standard wheelchair with no additional precautions. Standard precautions are not sufficient for airborne diseases like TB. Without proper precautions, the patient may spread Mycobacterium tuberculosis to others during transport.

C. Have the patient wear a surgical mask during transport. A surgical mask on the patient helps contain respiratory droplets and prevents the spread of TB during transport. This is the standard precaution for transporting patients with airborne infections.

D. Place the patient in a negative-pressure isolation room during transport. Negative-pressure isolation rooms are used for patients while they are in the hospital room, not during transport. Negative pressure cannot be maintained in an open environment.

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Correct Answer is D

Explanation

A. Moderate level of pain: Pain is expected after a fracture and casting. However, if pain is severe and unrelieved by medication, it may indicate compartment syndrome, which is an emergency. Moderate pain alone does not require immediate provider notification.

B. Dependent edema distal to the cast: Some swelling is expected due to reduced mobility and gravity-dependent positioning. Elevating the leg can help reduce swelling, but it does not require immediate provider notification.

C. Itching of the distal foot: Itching is a common, non-emergency side effect of casting. Clients should be advised not to insert objects inside the cast to relieve itching.

D. Inability to flex the toes of the casted foot: Inability to flex the toes suggests potential neurovascular compromise or compartment syndrome, a medical emergency requiring immediate intervention to prevent permanent nerve or muscle damage. The provider must be notified immediately.

A. Full-Thickness (Third-Degree) B. Superficial (First-Degree) C. Deep Full-Thickness (Fourth-Degree) D. Partial-Thickness (Second-Degree)

Correct Answer is A

Explanation

A. Full-Thickness (Third-Degree). A third-degree (full-thickness) burn destroys both the epidermis and dermis, leaving the skin dry, white, or charred. Due to nerve damage, the patient does not experience pain in the affected area.

B. Superficial (First-Degree). A first-degree burn affects only the epidermis and presents with redness, mild swelling, and pain. The skin remains intact, unlike the description provided.

C. Deep Full-Thickness (Fourth-Degree). A fourth-degree burn extends beyond the skin into muscle, bone, or fat. The description does not indicate such deep involvement.

D. Partial-Thickness (Second-Degree). A second-degree burn involves the epidermis and part of the dermis, causing blistering, redness, and pain. This is not consistent with the described dry, white, and painless presentation.

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A nurse is preparing to transport a patient with active tuberculosis (TB) to another department for a diagnostic procedure. Which of the following infection control precautions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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